I get a referral for the veteran. It's impossible for me not to look at the other stuff that's happening; it's impossible. I don't know whether that's just me, or is OT training in me, or what it is, but I definitely do. I know I can't treat the spouse, but I definitely take them into consideration when I'm there.
I feel I have to. They're part of the solution, really. Whether that's my having to train them in strengthening exercise—and I do them at the same time—or whether it be that I just place the grab bar two inches over because that little women and the six-foot-tall man have to.... And those are very prescribed, traditional OT things.
I know that may not sound like a big deal to people who are listening or who are going to be reading this, but little things like that really do help maintain the spouse's staying in the home as long as possible, which keeps the veteran healthy, which keeps him moving, keeps them going and feeding off each other.
So I take them into consideration. As to whether I'm supposed to, maybe I shouldn't be talking like this, but I do take them into consideration.